Foothill Gateway Surgery Center LLC
NPI #1588709489 in Lake Forest, California
Provider Information
- NPI Number
- 1588709489
- Entity Type
- Organization
- Organization Name
- Foothill Gateway Surgery Center LLC
- Primary Specialty
- Clinic/Center - Ambulatory Surgical
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Oct 22, 2010
Practice Location
- Address
- 29300 PORTOLA PKWY STE A
- City
- Lake Forest
- State
- California
- ZIP Code
- 92630-8718
- Phone
- (949) 305-6336
Authorized Official
- Name
- PATTI THOMPSON
- Title
- BILLING MANAGER
- Phone
- (949) 305-6336
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Ambulatory Surgical — Ambulatory Surgical |
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